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Organization
NORRIDGE CHIROPRACTIC CLINIC LTD
Active
Organization
NORRIDGE CHIROPRACTIC CLINIC LTD
Active
Other names
Total Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK J MARTUSCIELLO DC DABCO (CLINIC DIRECTOR)
(708) 457-8000
Entity
Organization
Contact information
Practice address
7830 W LAWRENCE AVE, NORRIDGE, IL 60706
(708) 457-8000
(708) 457-1333
Mailing address
7830 W LAWRENCE AVE, NORRIDGE, IL 60706
(708) 457-8000
(708) 457-1333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038004983
IL
111N00000X
Chiropractor
038008935
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1682591
BCBS
IL
01
—
277958200
DEPT OF LABOR
IL
Enumeration date
08/29/2006
Last updated
06/01/2011
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